evaluation of jensen procedure in patients with complete sixth nerve palsy

purpose: to evaluate the results of jensen procedure in correction of ocular deviation in patients with complete sixth nerve palsy. methods: hospital records of patients with complete sixth nerve palsy who underwent jensen procedure at khalili hospital of shiraz during 1993-2002 were studied and results of the operation were evaluated. results: of 18 patients including 14 male and 4 females, 19 eyes were operated on. cause of the condition was head trauma in 83.5% of the patients. average horizontal deviation in primary position was 48 prism diopter esotropia before and 2.6 prism diopter esotropia after the operation. after the procedure, 78% of the patients had <8 prism diopter horizontal deviation in primary position; 11% of the patients developed 5 prism diopter vertical deviation; and 17% of the patients developed face turn. thirty-three percent of the patients suffered from diplopia before operation which completely resolved after the operation. none of the patients developed anterior segment ischemia. conclusion: jensen procedure is a suitable method for correcting deviation due to complete sixth nerve palsy. the results of this procedure are comparable to other surgical methods.